Abstract
A growing workforce of behavior analysts provides services to individuals with autism and intellectual disabilities as legislative initiatives have spurred a growth of funding options to support these services. Though many opportunities currently exist for serving individuals with autism, the growing demand for these services may wane or, at some point, the growth in service providers will meet that demand. Other consumer groups could benefit from behavior analytic services, but typically have limited access to qualified providers. Individuals with dementia and traumatic brain injury are used as example consumer groups to illustrate the necessary tasks for a behavior analyst to expand their scope of practice to a new population. This paper provides strategies for developing competence and creating employment opportunities with new consumer groups.
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References
Adkins, V. K., & Mathews, R. M. (1999). Behavioral gerontology: State of the science. Journal of Clinical Gerontology, 5, 39–49.
Allen, R. (2011, May). Chair, Behavior Analytic Interventions for Individuals with Brain Injury. Symposium at the 37th Annual convention of the Association for Behavior analysis International. Denver, Colorado May 2011.
Austin, J., & Carr, J. E. (Eds.). (2000). Handbook of applied behavior analysis. Oakland, CA: New Harbinger Publications.
Baer, D. M., Wolf, M. M., & Risley, T. R. (1968). Some current dimensions of applied behavior analysis. Journal of Applied Behavior Analysis, 1, 91–97.
Bailey, J., & Burch, M. (2010). 25 essential skills & strategies for the professional behavior analyst. New York: Routledge Taylor & Francis Group.
Baker, J. C. (2011, May). Preference and Reinforcer Assessment in Older Adults with Dementia. Symposium conducted at the 37th annual Association for Behavior Analysis International convention in Denver, CO.
Baker, J. C., Hanley, G. P., & Mathews, R. M. (2006). Staff-administered functional analysis and treatment of aggression by an elder with dementia. Journal of Applied Behavior Analysis, 39, 469–474.
Baker, J. C., & LeBlanc, L. A. (2010, March). Behavioral gerontology: Selected resources (bibliography published by the Association of Professional Behavior Analysts). Archived resource for Association of Professional Behavior Analysts members http://www.apbahome.net/index.php Bibliographies section.
Baker, J. C., & LeBlanc, L. A. (2011). Acceptability of interventions for aggressive behavior in long-term care settings: Comparing ratings and hierarchical selection. Behavior Therapy, 42, 30–41.
Baker, J. C., LeBlanc, L. A., Raetz, P. B., & Hilton, L. C. (2011). Assessment and treatment of hoarding in an individual with dementia. Behavior Therapy, 42, 135–142.
Bourgeois, M. S. (1990). Enhancing conversation skills in patients with Alzheimer’s disease using a prosthetic memory aid. Journal of Applied Behavior Analysis, 23, 29–42.
Bourgeois, M. S., & Mason, L. A. (1996). Memory wallet intervention in an adult day-care setting. Behavioral Interventions, 11, 3–18.
Buchanan, J. A., & Fisher, J. E. (2002). Functional assessment and noncontingent reinforcement in the treatment of disruptive vocalization in elderly dementia patients. Journal of Applied Behavior Analysis, 35, 99–103.
Burgio, L. D., Allen-Burge, R., Roth, D. L., Bourgeois, M. S., Dijkstra, K., Gerstle, J., & Bankester, L. (2001). Come talk with me: Improving communication between nursing assistants and nursing home residents during care routines. The Gerontologist, 41, 449–460.
Carr, J. E. (2011, February). The Behavior Analyst Certification Board and Professional Developments in Behavior Analysis. Invited address conducted at the 29th Annual Western Regional Conference of the California Association for Behavior Analysis, Burlingame, CA.
Carr, J. E., & Briggs, A. M. (2010). Strategies for making regular contact with the scholarly literature. Behavior Analysis in Practice, 3, 13–18.
Cattelani, R., Zettin, M., & Zoccolotti, P. (2010). Rehabilitation treatments for adults with behavioral and psychosocial disorders following acquired brain injury: A systematic review. Neuropsychology Review, 20, 52–85.
Conyers C., Doole A., Vause T., Harapiak S., Yu, D. C., & Martin, G. L. (2002). Predicting the relative efficacy of three presentation methods for assessing preferences of persons with developmental disabilities. Journal of Applied Behavior Analysis, 35, 49–58.
Cowley, B. J., Green, G., & Braunling-McMorrow, D. (1992). Using stimulus equivalence procedures to teach name-face matching to adults with brain injuries. Journal of Applied Behavior Analysis, 25, 461–475.
Dolezal, D. N., & Kurtz, P. F. (2010). Evaluation of combined-antecedent variables on functional analysis results and treatment of problem behaviors in a school setting. Journal of Applied Behavior Analysis, 43, 309–314.
Dwyer-Moore, K. J., & Dixon, M. R. (2007). Functional analysis and treatment of problem behavior of elderly adults in long-term care. Journal of Applied Behavior Analysis, 40, 679–683.
Eldevik, S., Hastings, R. P., Hughes, J. C., Jahr, E., Eikeseth, S., & Cross, S. (2009). Meta-analysis of early intensive behavioral intervention for children with autism. Journal of Clinical Child and Adolescent Psychology, 38, 439–450.
Fisher, W. W., Piazza, C. C., & Roane, H. S. (Eds.). (2011). Handbook of applied behavior analysis. New York: Guilford Press.
Friman, P. C. (2010a). The President’s Column. Inside Behavior Analysis, 2, 6–9.
Friman, P. C. (2010b). Come on in, the water is fine: Achieving mainstream relevance through integration with primary care. The Behavior Analyst, 33, 19–36.
Fyffe, C. E., Kahng, S., Fittro, E., & Russell, D. (2004). Functional analysis and treatment of inappropriate sexual behavior. Journal of Applied Behavior Analysis, 37, 401–404.
Higbee, T. S., Carr, J. E., & Harrison, C. D. (1999). The effects of pictorial versus tangible stimuli in stimulus-preference assessments. Research in Developmental Disabilities, 20, 63–72.
Horner, R. H., Carr, E. G., Halle, J., McGee, G., Odom, S., & Wolery, M. (2005). The use of single subject research to identify evidence-based practice in special education. Exceptional Children, 71, 165–179.
Houlihan, D., & Buchanan, J. (Eds.). (2011). Geriatric behavior therapy: The challenges of a changing environment [Special issue]. Behavior Therapy, 42 (1).
Jacobs, H. E. (2000). Behavioral contributions to brain-injury rehabilitation. In J. Austin, & J. E. Carr (Eds.), Handbook of applied behavior analysis (pp. 211–230). Oakland, CA: New Harbinger Publications.
Johnston, J. (2009). APBA 2009 Professional employment survey results. (survey results published by the Association of Professional Behavior Analysts). Archived resource for Association of Professional Behavior Analysts members http://www.apbahome.net/index.php APBA Survey Results section.
Kazdin, A. E. (2003). Research Design in Clinical Psychology (4th ed.). Boston: Allyn & Bacon.
Kirk, R. E. (1999). Statistics: An introduction (4th Ed.). Fort Worth, TX: Harcourt Brace College Publishers.
Langlois J. A., Rutland-Brown, W., & Thomas, K. E. (2006). Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations, and Deaths. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control.
Lash, M. (Ed.). (2007). The essential brain injury guide (4th ed.). Vienna, VA: Brain Injury Association of America.
LeBlanc, L. A. (2010). Integrating behavioral psychology services into adult day programming for individuals with dementia. Behavior Modification, 34, 443–458.
LeBlanc, L. A., Cherup, S. M., Feliciano, L., & Sidener, T. M. (2006). Using choice making opportunities to increase activity engagement in individuals with dementia. American Journal of Alzheimer’s Disease and Other Dementias, 21, 318–325.
LeBlanc, L. A., Raetz, P. B., Baker, J. C., Strobel, M. J., & Feeney, B. J. (2008). Assessing preference in elders with dementia using multimedia and verbal pleasant events schedules. Behavioral Interventions, 23, 213–225.
LeBlanc, L. A., Raetz, P. B., & Feliciano, L. (2011). Behavioral gerontology. In W. W. Fisher, C. C. Piazza, & H. S. Roane (Eds.) Handbook of applied behavior analysis (pp. 472–486). New York: Guilford Press.
Malott, M. E. (2010). Everything’s bigger in Texas, including ABAI’s 2010 annual convention. Inside Behavior Analysis, 2, 6–9.
Martella, R. C., Nelson, R., & Marchand-Martela, N. E. (1999). Research Methods. Boston, MA: Allyn & Bacon.
McCurry, S. M., & Drossel, C. (2011). Treating dementia in context: A step-by-step guide to working with individuals and families. Washington, DC: American Psychological Association.
Mozzoni, M. P. (Ed.). (2000). Brain injury [Special issue]. Behavioral Interventions, 15(3).
Mozzoni, M. P. (Ed.). (2005). Traumatic brain injury [Special issue]. Behavioral Interventions, 20(1).
Mozzoni, M. P. (2008). Applied behavior analysis evaluation strategies and neurorehabilitation. Brain Injury Professional, 5, 29–31.
Olshansky, S. J., Goldman, D. P., Zheng, Y., & Rowe, J. W. (2009). Aging in America in the twenty-first century: Demographic forecasts from the MacArthur Foundation Research Network on an aging society. The Milbank Quarterly, 87, 842–862.
Pace, G. (2011, April). Chair, Growth Areas in Applied Behavior Analysis. Panel discussion conducted at the first annual Association for Professional Behavior Analysts convention in Boston, MA.
Reichow, B. & Woolery, M. (2009). Comprehensive synthesis of early intensive behavioral interventions for young children with autism based on the UCLA Young Autism Project model. Journal of Autism and Developmental Disorders, 39, 23–41.
Reid, D. H. (1991). Technological behavior analysis and societal impact: A human services perspective. Journal of Applied behavior Analysis, 24, 437–439.
Ryan’s Law, S.C. Code Ann. § 38-71-280 (Supp. 2008).
Sidman, M. (1994). From coma to equivalence. In M. Sidman, Equivalence relations and behavior: A research story (pp. 266–273). Boston, MA: Authors Cooperative.
Silverman, K., Roll, J. M., & Higgins, S. T. (2008). Introduction to the special issue on the behavior analysis and treatment of drug addiction. Journal of Applied Behavior Analysis, 41, 471–480.
Slifer, K. J., & Amari, A. (2009). Behavior management for children and adolescents with acquired brain injury. Developmental Disabilities Research Reviews, 15, 144–151.
Stewart, I., & Alderman, N. (2010). Active versus passive management of post-acquired brain injury challenging behavior: A case study analysis of multiple operant procedures in the treatment of challenging behavior maintained by negative reinforcement. Brain Injury, 24, 1616–1627.
Tanielian, T., & Jaycox, L. H. (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: RAND Corp.
Trahan, M. A., Kahng, S., Fisher, A. B., & Hausman, N. L. (2011). Behavior-analytic research on dementia in older adults. Journal of Applied Behavior Analysis, 44, 687–691.
Travis, R., & Sturmey, P. (2010). Functional analysis and treatment of the delusional statements of a man with multiple disabilities: A four-year follow-up. Journal of Applied Behavior Analysis, 43, 745–749.
UPDATE: Board of psychologists withdraws autism rule change. (2011, September 28). WSAZ News Channel. Retrieved from http://www.wsaz.com/news/headlines/Emergency_Rule_Cuts_Off_Autism_Treatment_in_WVa__130608358.html
U.S. Census Bureau. (2010). Table 2. Annual Estimates of the Resident Population by Sex and Selected Age Groups for the United States: April 1, 2000 to July 1, 2009 (NC-EST2009-02). Retrieved from U.S. Census Bureau website: http://www.census.gov/popest/national/asrh/NC-EST2009/NC-EST2009-02.xls
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We thank Jim Carr, Kaneen Geiger, and Nicole Hanney for their comments on earlier versions of this paper.
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LeBlanc, L.A., Heinicke, M.R. & Baker, J.C. Expanding the Consumer Base for Behavior-Analytic Services: Meeting the Needs of Consumers in the 21st Century. Behav Analysis Practice 5, 4–14 (2012). https://doi.org/10.1007/BF03391813
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DOI: https://doi.org/10.1007/BF03391813